NPIMap

Organization Active NPI

Bay Area Sports Orthopaedics, a Medical Corporation

  • Orthopaedic Surgery Physician
  • Oakland, CA
National Provider Identifier
1235356213
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BAY AREA SPORTS ORTHOPAEDICS, A MEDICAL CORPORATION
Practice address
3300 Webster St
Suite 907
Oakland, CA 94609-3117
Phone
(510) 834-2276
Fax
(510) 834-2202
NPI assigned
Apr 19, 2007
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Chang, M.D.NPI 1316918881
Title
President
Phone
(510) 834-2276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

3300 Webster St
Suite 907
Oakland, CA 94609-3117

Mailing address

1563 Solano Ave
Suite 336
Berkeley, CA 94707-2116
Phone (510) 834-2276

National Provider Directory

National Provider Directory
Tax ID family
Bay Area Sports Orthopaedics a Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1563 Solano Ave
Ste 336
Berkeley, CA 94707

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1235356213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 SOLANO AVE",
            "address_2": "SUITE 336",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072116",
            "telephone_number": "510-834-2276",
            "fax_number": "510-834-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "address_2": "SUITE 907",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093117",
            "telephone_number": "510-834-2276",
            "fax_number": "510-834-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA SPORTS ORTHOPAEDICS, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-834-2276",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.